List of Stains

Types of Stains

• Ionic bonding
• Hydrogen bonding
• Histochemical

Summary of Conventional Staining Techniques

Stain	Uses	Tissue Components Targeted	Mechanism of Staining (Primary Stain)	Stains Used Primary Secondary	Other Reagents	Controls
Hematoxylin & Eosin (H&E)	General tissue staining	Nuclei: blue RBCs: red/dark pink Muscle: pink Collagen: light pink		Harris Hematoxylin (nuclear) Eosin Y (cytoplasm)	Harris Hematoxylin Acid Alcohol Scott's tap water substitute Eosin Y
Periodic Acid-Schiff (PAS)	Identifying neutral polysaccharides (Group I carbohydrates) glycogen starches cellulose fungi (chitin)
Alcian Blue (AB)	Identifying acid mucopolysaccharides (Group II carbohydrates) Identifying glycoproteins (Group III carbohydrates)	pH 1.0: Sulfated mucopolysaccharides: pale blue Acid mucins (mucopolysaccharides) Sialomucins (glycoproteins) Background: pink/red	Ionic bonding
Alcian Blue + Periodic Acid-Schiff (AB PAS)	Identifying multiple different types of carbohydrate groups
Congo Red	Identifying amyloid deposits		Hydrogen bonding
Masson Trichrome	Identifying fibrotic tissue	Connective Tissue Stain Nuclei: blue-black RBCs: dark red Muscle: red Cytoplasm: red Collagen: varies by stain (often green or blue)	Porosity and ionic bonding	No primary stain. Iron hematoxylin (nuclear) Ponceau (dense connective) Light green or aniline blue (loose connective)
Gordon and Sweet's Reticulin	Identifies reticulin fibres (type III & IV collagen) Differential diagnosis of certain tumour types	Connective Tissue Stain Reticulin fibres: black Nuclei and cytoplasm: varies by counterstain	Metallic impregnation Argyophilic metallic impregnation & substitution Counterstain Ionic bonding	a Varies (light green, nuclear fast red, neutral red, etc.)
Verhoeff's Van Giesen	Connective Tissue Stain Identifies elastin fibres	Connective Tissue Stain Elastic fibres: blue-black/black Nuclei: dark blue-black Collagen: red Muscle: orange RBCs: yellow Cytoplasm: yellow	Van der Waal's Primary stain Porosity and ionic bonding Counterstain	Verhoeff's Iron Hematoxylin (elastic fibres) Van Giesen Picric acid (RBCs and cytoplasm) Acid fuchsin (collagen and muscle)
Oil Red O	Connective Tissue Stain Identifying triglycerides, lipids, and lipoproteins	Fats: red	Selective solubility
Gram	Differential Microorganism Stain Gram +/- bacteria	Microorganism Stain Gram positive: purple Gram negative: pink	Ionic bonding			Positive: appendix, any tissues containing bacteria
Ziehl-Neelsen	Differential Microorganism Stain Acid fast bacteria	Microorganism Stain Acid fast: pink Non-acid fast & background: blue/pale blue	Ionic bonding			Positive: any tissue with acid fast bacteria (e.g., M. tuberculosis)
Grocott Methenamine Silver	Microorganism Stain Fungi	Microorganism Stain Fungi: black (with paler internal structures) Background: light green	Argentaffin metallic impregnation (induced)	Methenamine silver nitrate Light green or nuclear fast red	Chromic acid (oxidizer) Sodium bisulphite (bleach) Gold chloride (toner) Sodium thiosulphate (fixative)	Positive: any tissue with fungi
Perl's Prussian Blue	Iron Pigment Stain Ferric iron (hemosiderin and ferritin) Asbestos bodies	Iron: blue Nucleus: red Cytoplasm: pink	Histochemical	Perl's solution (HCl + potassium ferrocyanide) Nuclear fast red or neutral red or safranin		Positive: spleen, bone marrow, liver
Masson Fontana	Pigment Stain Argentaffin substances Melanin Argentaffin granules	Melanin: black Nuclei: pink/red Other tissue: pale pink/brown /colourless	Argentaffin metallic impregnation	Fontana's ammoniacal silver Nuclear fast red or light green	Iodine (oxidizer) Sodium thiosulphate (bleach) Gold chloride (toner) Sodium thiosulphate (fixation)	Positive: skin (melanin), small intestine (argentaffin granules) Can repeat with bleached slides to confirm presence of melanin
Von Kossa	Pigment Stain Calcium	Mineralized bone and urates: dark brown /black Non-mineralized tissue: varies by counterstain Red (NFR)	Metallic substitution - silver impregnation	von Kossa (silver nitrate) Nuclear fast red	Light or hydroquinone (reducer) Sodium thiosulphate (fixation)	Positive: any calcified tissue (e.g., bone)
Jones Methenamine Silver	Connective Tissue Stain Glomerular basement membrane	Glomerular basement membrane: black Other tissue: varies Green (LG)	Argentaffin metallic impregnation	Methanamine silver nitrate Light green or nuclear fast red	Periodic acid (oxidizer) Gold chloride (toner) Sodium thiosulphate (fixation)	Positive: normal kidney
Toluidine Blue	Connective Tissue Stain Mast cells	Metachromatic granules: red/pink/purple Nuclei and other components: varies Blue (TB) Colourless (1% acetic acid)	Metachromasia and hydrogen bonding	Toluidine blue (0.1%)	Acetic acid dips NO alcohols	Positive: tissue with mast cells (skin, small intestines)

Summary of Immunohistochemistry Techniques

Technique

Gram Stain

• Staining technique: Differential staining (ionic bonding to cell wall)
• Primary Stain: Crystal violet
  • Targets: Gram positive bacteria (purple/blue)
• Counterstain: Safranin
  • Targets: Gram negative bacteria (pink/red)

Ziehl-Neelsen

• Staining technique: Differential staining/acid fastness (ionic bonding)
• Primary Stain:
  • Targets: Acid-fast bacteria (e.g., Mycobacteria)
• Counterstain:
  • Targets:

Grocott Methenamine Silver

• Staining technique:
• Primary Stain:
  • Targets:
• Counterstain:
  • Targets:

Perl's Prussian Blue

• Staining technique:
• Primary Stain:
  • Targets:
• Counterstain:
  • Targets:

Masson Fontana

• Staining technique:
• Primary Stain:
  • Targets:
• Counterstain:
  • Targets:

Von Kossa

• Staining technique:
• Primary Stain:
  • Targets:
• Counterstain:
  • Targets:

Jones Methenamine Silver

• Staining technique:
• Primary Stain:
  • Targets:
• Counterstain:
  • Targets:

Toluidine Blue

• Staining technique:
• Primary Stain:
  • Targets:
• Counterstain:
  • Targets: